老年女性卵圆孔未闭伴平卧位-直立性低氧血症综合征。
Platypnea-orthodeoxia syndrome in an elderly woman with a patent foramen ovale.
机构信息
University of Saskatchewan, Saskatoon, Saskatchewan.
出版信息
Can J Cardiol. 2010 Apr;26(4):213-4. doi: 10.1016/s0828-282x(10)70372-x.
Abstract
A case of an 85-year-old woman with gradually progressive but severe dyspnea is reported. A thorough workup disclosed platypnea-orthodeoxia syndrome associated with right-to-left shunting through a patent foramen ovale, in the presence of several other recognized risk factors, despite the absence of significant pulmonary hypertension. Successful percutaneous transcatheter closure of the intracardiac defect resulted in resolution of the syndrome.
摘要
报告了一例 85 岁女性逐渐加重但严重呼吸困难的病例。彻底的检查显示，尽管没有明显的肺动脉高压，但该患者存在多种其他公认的危险因素，同时合并卵圆孔未闭所致的右向左分流，引起了直立性低氧血症-氧合改善综合征。经皮导管介入卵圆孔未闭封堵术成功，该综合征得以缓解。
相似文献
1
Platypnea-orthodeoxia syndrome in an elderly woman with a patent foramen ovale.老年女性卵圆孔未闭伴平卧位-直立性低氧血症综合征。
Can J Cardiol. 2010 Apr;26(4):213-4. doi: 10.1016/s0828-282x(10)70372-x.
2
Unexplained dyspnea in an old patient with recurrent stroke: platypnea-orthodeoxia syndrome and evidence of patent foramen ovale.老年复发性卒中患者不明原因呼吸困难：屏气-直立性低氧血症综合征和卵圆孔未闭证据。
Neurol Sci. 2010 Feb;31(1):93-4. doi: 10.1007/s10072-009-0169-9. Epub 2009 Oct 30.
3
Treatment of Platypnea-Orthodeoxia Syndrome in a Patient with Normal Cardiac Hemodynamics: A Review of Mechanisms with Implications for Management.心脏血流动力学正常患者的平卧呼吸-直立性低氧血症综合征治疗：对管理有影响的机制综述
Methodist Debakey Cardiovasc J. 2018 Apr-Jun;14(2):141-146. doi: 10.14797/mdcj-14-2-141.
4
Platypnea-orthodeoxia syndrome in the right lateral decubitus position: a case report.右侧卧位时的平卧呼吸-直立性低氧血症综合征：一例报告
J Med Case Rep. 2017 Apr 12;11(1):109. doi: 10.1186/s13256-017-1267-6.
5
Persistent hypoxemia and platypnea-orthodeoxia after left single-lung transplantation: a case report.左肺单肺移植术后持续低氧血症及平卧呼吸-直立性低氧血症：一例报告
J Med Case Rep. 2015 Jun 12;9:138. doi: 10.1186/s13256-015-0598-4.
6
The effect of patent foramen ovale closure in patients with platypnea-orthodeoxia syndrome.卵圆孔未闭封堵术对平卧呼吸-直立性低氧血症综合征患者的影响。
Catheter Cardiovasc Interv. 2015 Oct;86(4):701-7. doi: 10.1002/ccd.25953. Epub 2015 Jun 9.
7
Closure of a patent foramen ovale in patients with platypnoea-orthodeoxia: a rare and overlooked cause of dyspnoea and hypoxaemia.平卧呼吸-直立性低氧血症患者卵圆孔未闭的封堵：一种罕见且被忽视的呼吸困难和低氧血症原因。
Scand Cardiovasc J. 2015;49(6):357-60. doi: 10.3109/14017431.2015.1071874. Epub 2015 Jul 31.
8
Percutaneous Intervention to Treat Platypnea-Orthodeoxia Syndrome: The Toronto Experience.经皮介入治疗固缩性低通气-直立性低氧血症综合征：多伦多经验。
JACC Cardiovasc Interv. 2016 Sep 26;9(18):1928-38. doi: 10.1016/j.jcin.2016.07.003.
9
Platypnea-orthodeoxia syndrome in the elderly treated by percutaneous patent foramen ovale closure: a case series and literature review.老年体位性呼吸困难-低氧血症综合征行经皮卵圆孔未闭封堵术治疗：病例系列及文献复习。
Eur J Intern Med. 2013 Dec;24(8):813-7. doi: 10.1016/j.ejim.2013.08.698. Epub 2013 Sep 3.
10
Platypnea Orthodeoxia Syndrome Secondary to Intracardiac Shunt Following Orthotopic Liver Transplantation.心脏移植术后因心内分流导致的体位性呼吸困难-低氧血症综合征。
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620925575. doi: 10.1177/2324709620925575.
引用本文的文献
1
Dynamic echocardiography in evaluation of platypnoea-orthodeoxia.动态超声心动图在评估平卧呼吸-直立性低氧血症中的应用
Australas J Ultrasound Med. 2012 May;15(2):71-75. doi: 10.1002/j.2205-0140.2012.tb00230.x. Epub 2015 Dec 31.
2
Cardiac platypnea-orthodeoxia syndrome in a 73-year-old woman.一名73岁女性的心脏平卧呼吸-直立性低氧血症综合征
CMAJ. 2015 Dec 8;187(18):1385-1388. doi: 10.1503/cmaj.141525. Epub 2015 Jul 20.
3
Pseudo-pulmonary embolism--a case of hypoxemia associated with right-to-left shunt.假性肺栓塞——一例与右向左分流相关的低氧血症病例。
Arq Bras Cardiol. 2015 Jan;104(1):e4-9. doi: 10.5935/abc.20140208.
本文引用的文献
1
Clinical problem-solving. A hole in the argument.
N Engl J Med. 2005 Dec 1;353(22):2385-90. doi: 10.1056/NEJMcps050473.
2
Clinical practice. Patent foramen ovale in young adults with unexplained stroke.临床实践。不明原因卒中的年轻成年人卵圆孔未闭。
N Engl J Med. 2005 Dec 1;353(22):2361-72. doi: 10.1056/NEJMcp043981.
3
A mystery featuring right-to-left shunting despite normal intracardiac pressure.一个尽管心腔内压力正常但存在右向左分流的谜团。
Chest. 2005 Aug;128(2):998-1002. doi: 10.1378/chest.128.2.998.
4
Patent foramen ovale and the platypnea-orthodeoxia syndrome.卵圆孔未闭与平卧呼吸-直立性低氧血症综合征
Cardiol Clin. 2005 Feb;23(1):85-9. doi: 10.1016/j.ccl.2004.10.003.
5
Mechanisms of platypnea-orthodeoxia: what causes water to flow uphill?平卧呼吸-直立性低氧血症的机制：是什么导致水向上流动？
Circulation. 2002 Feb 12;105(6):e47.
Zotero 插件